Aircraft Accident/Incident Report

Mt. Fairweather Canada
Monday, March 21, 1994 11:15 AST

NTSB Narrative Summary Released at Completion of Accident

THE STATE-OPERATED AMPHIBIAN WAS UNABLE TO OUTCLIMB RISING TERRAIN AND IMPACTED THE MARGERIE GLACIER, COMING TO REST AT 9,650 FT MSL. PILOT HAD NOT FLOWN SINCE LAST PROFICIENCY CHECK ON 11/27/93. PILOT'S CHECKS WERE CONDUCTED BY A CIVILIAN EMPLOYEE WHO REPORTED DIRECTLY TO THE PILOT. PILOT DID NOT PERFORM WEIGHT & BALANCE. AIRPLANE 1,403 LBS OVER MAX GROSS WEIGHT. ADDITIONALLY, 80 LBS OF FROZEN WATER WAS FOUND IN THE BILGES OF THE HULL. AT THE POWER AND CARB AIR TEMP SETTINGS USED BY THE PILOT, THE AIRPLANE REACHED MAX PERFORMANCE AT APRX 5,000 FT MSL. INVESTIGATION DELEGATED TO THE U.S. BY CANADA.

NTSB Probable Cause Narrative

THE PILOT'S IMPROPER DECISION IN ATTEMPTING TO OUTCLIMB THE RISING TERRAIN WITH THE EXISTING AIRPLANE CLIMB PERFORMANCE. FACTORS WHICH CONTRIBUTED TO THE ACCIDENT WERE: THE PILOT'S INADEQUATE PREFLIGHT OF THE AIRPLANE, THE OVER MAXIMUM GROSS WEIGHT OF THE AIRPLANE, HIGH TERRAIN, HIGH DENSITY ALTITUDE, THE PILOT'S LACK OF RECENT FLYING EXPERIENCE, HIS OVERCONFIDENCE IN HIS AIRMANSHIP ABILITY, QUESTIONABLE TESTING OF THE PILOT'S FLYING COMPETENCY AND PROFICIENCY, AND THE STATE OF ALASKA'S INADEQUATE OVERSIGHT OF THE AVIATION PROGRAM WHICH ALLOWED MANAGEMENT TO DISREGARD THEIR OWN REGULATIONS.

Event Information

Type of Event Accident
Event Date 3/21/1994
Event Day of the Week Monday
Time of Event 1115
Event Time Zone Atlantic Standard Time
Event City MT. FAIRWEATHER
Event State --
Event Country CANADA
Zipcode of the event site 00000
Event Date Year 1994
Event Date Month 3
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport
Event Location Nearest Airport ID
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness Full
Investigator's weather source Weather Observation Facility
Time of the weather observation 1050 Atlantic Standard Time
Direction of event from weather observation facility (degrees) 350
Weather Observation Facility ID YAK
Elevation of weather observation facility 20
Distance of event from weather observation facility (units?) 50
Time Zone of the weather observation AST
Lighting Conditions Day
Lowest Ceiling Height 8000
Lowest Non-Ceiling Height 6500
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 50
Air Temperature at event time (in degrees celsius) 0
Dew Point at event time (in degress fahrenheit) -8
Wind Direction (degrees magnetic) 110
Variable Wind Indicator Unknown
Wind Speed (knots) 6
Wind Velocity Indicator Unknown
Wind Gust Indicator Not Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 29
Density Altitude (feet) 7600
Intensity of Precipitation Unknown
METAR weather report --
Event Highest Injury Minor
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal --
Injury Total Minor 1
Injury Total None 2
Injury Total Serious --
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 13
NTSB Notification Source --
NTSB Notification Date Mar 21 1994 12:00AM
NTSB Notification Time 1600
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Dec 6 2000 10:47AM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N741
NTSB Number ANC94GA041
Missing Aircraft Indicator N
Federal Aviation Reg. Part Public Use
Type of Flight Plan filed VFR
Flight plan Was Activated? --
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name GRUMMAN
Aircraft Model G21A
Aircraft Series Identifier G21A
Aircraft Serial Number B-97
Certified Max Gross Weight 9200
Aircraft Category Airplane
Aircraft Registration Class U.S. Registered/Foreign Soil
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 9
Number of Engines 2
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Aug 5 1993 12:00AM
Airframe hours since last inspection 100
Airframe Hours 8773
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site Yes
ELT Type --
Aircraft Owner Name STATE OF ALASKA
Aircraft Owner Street Address 450 WHITTIER STREET
Aircraft Owner City JUNEAU
Aircraft Owner State AK
Aircraft Owner Country
Aircraft Owner Zipcode 99811
Operator is an individual? --
Operator Name STATE OF ALASKA
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 450 WHITTIER STREET
Operator City JUNEAU
Operator State AK
Operator Country
Operator Zip code 99811
Operator Code
Owner has at least one certificate None
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation Unknown
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not Unknown
Indicates Domestic or International Flight Unknown
Operator carrying Pax/Cargo/Mail Unknown
Type of Flying (Per_Bus / Primary) Public Use
Second Pilot on Board Unknown
Departure Point Same as Event No
Departure Airport Code JNU
Departure City JUNEAU
Departure State AK
Departure Country
Departure Time 1030
Departure Time Zone AST
Destination Same as Local Flt --
Destination Airport Code ANC
Destination City ANCHORAGE
Destination State AK
Destination Country
Specific Phase of Flight Climb
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Oct 22 2001 3:26PM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 0
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --